Organization Active NPI

Supreme Hospice Inc

  • Community Based Hospice Care Agency
  • Carrollton, TX
National Provider Identifier
1427327675
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SUPREME HOSPICE INC
Practice address
2410 Luna Rd Ste 280
Carrollton, TX 75006-6572
Phone
(877) 832-1144
Fax
(469) 208-8494
NPI assigned
Dec 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stan Thomas
Title
Ceo/Administrator
Phone
(877) 832-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

2410 Luna Rd Ste 280
Carrollton, TX 75006-6572

Mailing address

350 Westpark Way Ste 220
Euless, TX 76040-3741
Phone (469) 208-8495

Other practice location 1

110 Cypress Station Dr Ste 151
Houston, TX 77090-1637
Phone (832) 286-1225

Other identifiers 1

IdentifierTypeStateIssuer
014659OtherTXHHS HOSPICE LICENSE

Other names 1

  • Loving Hope Hospice Doing business as

National Provider Directory

National Provider Directory

Locations

2410 Luna Rd
Ste 216
Carrollton, TX 75006
Phone (469) 208-8495

350 Westpark Way
Ste 220
Euless, TX 76040

915 S Main St
#A
Fort Worth, TX 76104
Phone (817) 284-9225

110 Cypress Station Dr
Ste 151
Houston, TX 77090
Phone (832) 286-1225

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1427327675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 WESTPARK WAY STE 220",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403741",
            "telephone_number": "469-208-8495",
            "fax_number": "469-208-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 LUNA RD STE 280",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066572",
            "telephone_number": "877-832-1144",
            "fax_number": "469-208-8494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Cypress Station Dr Ste 151",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770901637",
            "country_code": "US",
            "telephone_number": "832-286-1225",
            "fax_number": "469-208-8494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUPREME HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-16",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "STAN",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "877-832-1144"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HHS HOSPICE LICENSE",
            "identifier": "014659",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loving Hope Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.